Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Other Service Providers |
175T00000X | |||
Addiction (Substance Use Disorder) |
101YA0400X | |||
Adult Companion |
372600000X | |||
Case Management |
251B00000X | |||
Community/Behavioral Health |
251S00000X | |||
Home Health |
251E00000X | A4[11] | Home Health Agency | |
In Home Supportive Care |
253Z00000X | |||
Meals |
174200000X | |||
Mental Health |
101YM0800X | |||
Respite Care, Intellectual and/or Developmental Disabilities |
385HR2060X |
| NPI Number | 1053275206 |
| LBN Legal business name | ABUNDANTLY GRACED COMMUNITY SUPPORTIVE SERVICES INC |
| Authorized official | LASTARRA MCDONALD - (CEO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 12/11/2025 |
| Last updated | 03/11/2026 - About 3 months ago |
| Identifiers | n/a |
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